Most cerebral hemorrhage can save lives through medical treatment. Craniotomy is often needed to save lives when severe cerebral hemorrhage is life-threatening.
The main surgical methods include : decompressive craniectomy, small bone window craniotomy hematoma removal, stereotactic drilling hematoma aspiration, and external ventricular drainage. At present, there is no consistent opinion on the selection of surgical indications, methods and timing, mainly based on the location of bleeding, the amount of bleeding and the age, consciousness and general state of the patient. In addition, there is a new view that for patients with cerebral hemorrhage in functional areas, even if there is no life-threatening, it is also recommended that early surgical removal of hematoma can help reduce brain edema and promote neurological recovery.